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KELLY CONRAD SANCHEZ LMFT
NPI 1265128946
Marriage & Family Therapist in Port Jefferson, NY

Active since April 14, 2023PECOS Enrolled
1000 MAIN ST, PORT JEFFERSON, NY 11777(631) 296-1113 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2023, Apr 14, 2023 (2 updates tracked since 2023).

About Kelly Conrad Sanchez Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY CONRAD SANCHEZ LMFT (NPI 1265128946) is an individual marriage & family therapist in Port Jefferson, New York, licensed in New York (2091) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in East Islip, and is a graduate of Hofstra North Shore - Lij School Of Medicine (2019).

NPPES Registry Identity

NPI1265128946
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY CONRAD SANCHEZCredential: LMFT
Location Address1000 MAIN STPort Jefferson, NY 11777-2250
Mailing Address107 W Main StEast Islip, NY 11730-2337 · (631) 666-1615
Phone(631) 296-1113
Sole ProprietorYes
Medical School CMSHofstra North Shore - Lij School Of MedicineGraduated 2019
Enumeration DateApril 14, 2023
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1265128946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NY · 2091
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1000 MAIN ST, Port Jefferson, NY 11777
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Secondary Practice Location 1

Location 1107 W Main StEast Islip, NY 11730-2337 · Phone (631) 666-1615

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Conrad Sanchez Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234613118
PECOS Enrollment IDI20260318003517
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Sanchez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cs Medical Associates, P.C.
7.3 mi
Rehabilitation, Substance Use Disorder
100 GRANNY ROAD, SUITE 2
Farmingville, NY 11738
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Cs Medical Associates, PC
  • 81 clinicians in this Medicare group
NPI 1992210231 (631) 696-4357

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FREDRIC M LEVINE PH.D.
Psychologist (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-6622
PEOPLE TALK, INC
Social Worker (Clinical)
1000 MAIN ST, SUITE D
PORT JEFFERSON, NY 11777
Suffolk County (631) 921-9138
MR. DAVID BRUCE MORGAN LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 839-1682
AVNEET KAUR
Marriage & Family Therapist
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
MS. DEBORAH M. DEROSA LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 589-2389
BLAIR CRISTIN FORTE
Marriage & Family Therapist
1000 MAIN ST, FIRST FLOOR, SOUTH SUITE
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
MICHELLE STEWART LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 631-2961
ASHLEY DANIEL
Marriage & Family Therapist
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Sanchez's NPI number?

The NPI number for Kelly Sanchez is 1265128946. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Kelly Sanchez located?

Kelly Sanchez practices at 1000 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 296-1113.

What is Kelly Sanchez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kelly Sanchez enrolled in Medicare?

Yes. Kelly Sanchez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Sanchez reassigns Medicare benefits to Cs Medical Associates, P.C. (Farmingville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Sanchez was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.